A pediatric case of an unusual type of annular pancreas presenting with duodeno-pancreatic reflux.
A pediatric case of an unusual type of annular pancreas presenting with duodeno-pancreatic reflux.
复制标题
一例罕见的环状胰腺儿科病例，表现为十二指肠胰腺反流。
DOI：
10.1007/s00383-012-3065-y
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发表时间：
2012
影响因子：
1.8
通讯作者：
Shinkai T
中科院分区：
文献类型：
--
作者：
Komuro H;Gotoh C;Urita Y;Fujishiro J;Shinkai T
胰腺炎是环状胰腺（AP）的晚期并发症，是由胰胆管畸形（包括胰腺分裂（PD）和胰胆管连接异常（PBM））引起的。作者报告了一例3岁男孩的病例，他患有一种不寻常类型的AP，其背侧原基环绕十二指肠。患者出现十二指肠梗阻以及胰十二指肠返流，导致高淀粉酶血症和高脂肪酶血症。这种类型的AP与胰腺反流的AP还没有以前的报告。病人成功地接受了十二指肠十二指肠吻合术，通过纠正胰腺反流，防止了胰腺炎的后期发展。
Pancreatitis, a late complication of an annular pancreas (AP), results from coexisting pancreaticobiliary malformations including pancreas divisum (PD), and pancreaticobiliary maljunction (PBM). The authors report the case of a 3-year-old boy with an unusual type of AP in which the dorsal anlage encircled the duodenum. The patient developed duodenal obstruction as well as duodenopancreatic reflux with resulting hyperamylasemia and hyperlipasemia. This type of AP associated with duodenopancreatic reflux in AP has not been reported previously. The patient was successfully treated by duodenoduodenostomy, which, by correcting the duodenopancreatic reflux, prevented the later development of pancreatitis.